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2015, Number 4

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Rev Fac Med UNAM 2015; 58 (4)

Biological risk and protection of the medical staff participant in the outbreak of the Ebola virus 2014

Morelos RR, Ramírez PM, Sánchez DG, Chavarín RC, Meléndez HE

Language: Spanish
References: 15
Page: 14-24
PDF size: 385.66 Kb.


ABSTRACT

The Ebola virus is the causative agent of the most feared human infectious disease, the Ebola virus disease (EVD) or Ebola hemorrhagic fever. This filovirus may reach up to 90% in mortality. The virus was originated in Africa and the outbreaks have been recorded since 1976. The most recent occurred in 2014 in three countries of Western Africa, Liberia, Sierra Leone and Nigeria. Was the outbreak with a highest mortality and long time.
The World Health Organization in 2014 mentioned this outbreak as public health emergency of international concern. One point of interest was mortality in medical staff of African countries and the infection in members of international brigades who participated in this containment. The reason that caused this mortality was probably the inappropriate use of Personal Protective Equipment (PPE). In Mexico the risk of an EVD outbreak is very low however a high risk exists in the spread of virus chikungunya.
The purpose of this article is showing the components of this equipment with some technical details to the reader. This is an example of the use of personal protective equipment by qualified personnel in outbreaks and necessary in the containment of other outbreaks due to infectious agents.


REFERENCES

  1. Stallard B. Hunting Down Ebola’s Origins: Too Little Too Late? Nature world news. Disponible en: http:// www.natureworldnews.com/articles/8642/20140820/ hunting-down-ebolas-origins-little-late.htm.

  2. WHO. WHO Virtual Press Conference following the Meeting of the International Health Regulations Emergency Committee Regarding the 2014 Ebola Outbreak in West Africa. 8 August 2014. Disponible en: http:// www.who.int/mediacentre/multimedia/2014/who-ebola- outbreak-08aug2014.pdf.

  3. WHO. Red Mundial de Alerta y Respuesta ante Brotes Epidémicos (GOARN). Disponible en: http://www.who. int/csr/outbreaknetwork/es/.

  4. WHO. Ebola Situation Report - 25 March 2015. Incorporating the WHO Activity Report. Disponible en: http:// apps.who.int/ebola/current-situation/ebola-situation-report- 25-march-2015.

  5. Nielsen C, Kidd S, Sillah A, Davis E, Mermin J, Kilmarx P. Improving Burial Practices and Cemetery Management During an Ebola Virus Disease Epidemic - Sierra Leone, 2014. CDC. 2015;64(01):20-7. Disponible en: http://www. cdc.gov/mmwr/preview/mmwrhtml/mm6401a6.htm.

  6. Statista. Ebola cases and deaths among health care workers due to the outbreaks in West African countries as of June 10, 2015. Statitista. Disponible en: http://www.statista. com/statistics/325347/west-africa-ebola-cases-and-deathsamong- health-care-workers/.

  7. Cohen J. When Ebola protection fails. Science AAAS. 2014;346(6205):17-8. DOI: -10.1126/science. 346.6205.17.

  8. Morelos Ramírez R, Ramírez Pérez M, Sánchez Dorantes G, Chavarín Rivera C, Meléndez Herrada E. El trabajador de la salud y el riesgo de enfermedades infecciosas adquiridas. Las precauciones estándar y de bioseguridad. Rev Fac Med. 2014;57(4):34-42.

  9. CDC. Ebola: Personal Protective Equipment (PPE) Donning and Doffing Procedures Guidance for Donning and Doffing Personal Protective Equipment (PPE) During. Management of Patients with Ebola Virus Disease in U.S. Hospitals. Disponible en: http://www.cdc.gov/vhf/ebola/ hcp/ppe-training/.

  10. Dupont: Protective Clothing for Ebola Virus Disease (EVD). Technical Bulletin for North America. Disponible en: http://www.dupont.com/content/dam/assets/products- and-services/personal-protective-equipment/assets/ DuPont_Ebola_Tech_Bulletin_NA_111014.pdf.

  11. 3M Seguridad Personal. Disponible en: http://solutions.3m. com.mx/wps/portal/3M/es_MX/PPE_SafetySolutions_ LA/Safety/newhome.

  12. American National Standars Institute. ANSI Z88.2-1992, for respiratory protection. Disponible en: https://law.resource. org/pub/us/cfr/ibr/002/ansi.z88.2.1992.pdf

  13. Microflex. Disponible en: http://www.microflex.com/ Products/NO-123.aspx o en www.northernsafety.com/ Product/37145/Ansell-Sol-Vex-Nitrile-Gloves-Unlined- 11-Mil-13-Length.

  14. PYRAMEX. Disponible en: www.http://pyramexsafety. com/products/eyewear/g704th.

  15. CDC. Biosafety in microbiological and biomedical laboratories (bmbl) 5th edition. Disponible en: http://www. cdc.gov/biosafety/publications/bmbl5/.




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